The following information provides guidance to health care providers attending to the medical needs of adults and children with HIV displaced from disaster areas who have not yet secured HIV care in the areas where they have relocated.
If possible, management of antiretroviral therapy should be done with the assistance of clinicians with experience in HIV care. Medical consultation may also be available at specific local or regional HIV clinics. After the initial assessment of a patient’s immediate medical needs, the patient should be referred to the care of an HIV clinician in the area if at all possible.
The recommendations in this guidance are based on the current standard of care for persons with HIV infection, which emphasize antiretroviral therapy for all patients regardless of CD4 T lymphocyte (CD4) cell count. Interruptions of antiretroviral therapy should be avoided or kept to a minimum period of time. If patients report successful treatment without side effects from their ongoing therapy, that treatment regimen should be continued or reinstituted as soon as possible.